| NPI | 1265749972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277.000378) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H-085217) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2025-06-09 |